Financial hardship, sleep disturbances, and their relationship among men and women in the United States during the COVID-19 pandemic.
Financial hardship, sleep disturbances, and their relationship among men and women in the United States during the COVID-19 pandemic.
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DOI：
10.1016/j.sleh.2023.04.007
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发表时间：
2023-08
期刊：
影响因子：
4.1
通讯作者：
Jackson, Chandra L.
中科院分区：
文献类型：
--
作者：
Gaston, Symielle A.;Strassle, Paula D.;Alhasan, Dana M.;Perez-Stable, Eliseo J.;Napoles, Anna M.;Jackson, Chandra L.
在美国，新冠肺炎的健康和经济后果对妇女和少数族裔群体产生了不成比例的影响。然而，很少有美国研究调查新冠肺炎大流行期间的经济困难和睡眠健康差距。我们的目标是通过美国的性别、种族和民族来调查经济困难和新冠肺炎大流行期间睡眠障碍之间的关系。我们使用了具有全国代表性的新冠肺炎的S于2020年12月至2021年2月对5,339名男性和女性进行的种族负担不平等横断面调查数据。参与者报告了自大流行开始以来的经济困难(如债务、就业/失业)，并完成了针对睡眠障碍的患者报告结果管理信息系统缩写4a。患病率(PR)和95%的可信区间用调整后的加权泊松回归估计。大多数(71%)的参与者报告了经济困难。总体来说，中度到重度睡眠障碍的患病率为20%，女性的患病率更高(23%)，美国印第安人/阿拉斯加原住民(29%)和多种族成年人(28%)的患病率最高。经济困难与中度至重度睡眠障碍(PR=1.52[95%可信区间：1.18，1.94])之间的关联不因性别而异，但因种族和民族而异：在黑人/非裔美国人(PR=63.52[1.99，6.23])成年人中相关性最强。经济困难和睡眠障碍都很普遍，它们之间的关系在某些少数族裔群体中最为密切，尤其是黑人/非裔美国成年人。缓解经济不安全感的干预措施可能会缩小睡眠健康差距。
In the United States (US), the health and financial consequences of COVID-19 have disproportionately impacted women and minoritized racial-ethnic groups. Yet, few US studies have investigated financial hardship during the COVID-19 pandemic and sleep health disparities. Our objective was to investigate associations between financial hardship and sleep disturbances during the COVID-19 pandemic by gender and race and ethnicity in the United States. We used the nationally representative COVID-19′s Unequal Racial Burden cross-sectional survey data collected among 5339 men and women from 12/2020 to 2/2021. Participants reported financial hardship (eg, debt, employment/work loss) since the pandemic began and completed the Patient-Reported Outcomes Management Information System Short Form 4a for sleep disturbances. Prevalence ratios (PRs) and 95% confidence intervals were estimated using adjusted, weighted Poisson regression with robust variance. Most (71%) participants reported financial hardship. Prevalence of moderate to severe sleep disturbances was 20% overall, higher among women (23%), and highest among American Indian/Alaska Native (29%) and multiracial adults (28%). Associations between financial hardship and moderate to severe sleep disturbances (PR = 1.52 [95% confidence interval: 1.18, 1.94]) did not differ by gender but varied by race and ethnicity: associations were strongest among Black/African American (PR = 3.52 [1.99,6.23]) adults. Both financial hardship and sleep disturbances were prevalent, and their relationships were strongest among certain minoritized racial-ethnic groups, particularly Black/African American adults. Interventions that alleviate financial insecurity may reduce sleep health disparities.
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DOI：
10.1097/00001648-199001000-00010
发表时间：
1990-01-01
期刊：
Epidemiology (Cambridge, Mass.)
影响因子：
--
作者：
Rothman, K J
通讯作者：
Rothman, K J
DOI：
10.1056/nejmsr1809937
发表时间：
2019-08-15
期刊：
The New England journal of medicine
影响因子：
--
作者：
All of Us Research Program Investigators;Denny JC;Rutter JL;Goldstein DB;Philippakis A;Smoller JW;Jenkins G;Dishman E
通讯作者：
Dishman E
影响因子：
1.8
作者：
Lee, Soomi;Deason, Karley;Gray, Heewon L.
通讯作者：
Gray, Heewon L.
共同19日大流行期间的种族歧视，心理健康和行为健康：美国的一项全国调查。
影响因子：
5.7
作者：
Shi L;Zhang D;Martin E;Chen Z;Li H;Han X;Wen M;Chen L;Li Y;Li J;Chen B;Ramos AK;King KM;Michaud T;Su D
通讯作者：
Su D
影响因子：
6.3
作者：
Samuel, Laura J.;Dwivedi, Pallavi;Hladek, Melissa;Cudjoe, Thomas K. M.;Drazich, Brittany F.;Li, Qiwei;Szanton, Sarah L.
通讯作者：
Szanton, Sarah L.